Vesicovaginal fistula repair: a simple suprapubic transvesical approach

Simple suprapubic closure operations were performed for complicated vesicovaginal fistulas in 23 patients. Fistulas with previous unsuccessful attempts (13 patients), fistulas located above the interureteric ridge (5 patients) and fistulas including the ureteral orifice (5 patients) were considered as good candidates for suprapubic approach. There have been 3 failures and, thus, the initial success rate is 86.9 per cent.